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Ghassan N. Fanous, M.d. Pa
Medical Specialty Clinic/Center in Odessa, Texas
NPI 1629262787

Ghassan N. Fanous, M.d. Pa is a Medical Specialty Clinic/Center based in Odessa, TX and is specialized in Medical Specialty. Ghassan N. Fanous, M.d. Pa practices in Odessa, TX. The NPI Number for Ghassan N. Fanous, M.d. Pa is 1629262787 and holds a License No. J3306 (Texas).

The current practice location address for Ghassan N. Fanous, M.d. Pa is 540 W 5Th St, Odessa, TX and can be reached out via phone at 432-582-2280 and via fax at 432-331-9981.

Location: 540 W 5Th St, Odessa, TX, 79761-5034
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629262787
Provider Name
Ghassan N. Fanous, M.d. Pa
Credential
Provider Entity Type
Organization
Address
540 W 5Th St, Odessa, TX, 79761-5034
Phone Number
432-582-2280
Fax Number
432-331-9981
Provider Enumeration Date
08/31/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
540 W 5Th St
City
Odessa
State
Texas
Zip
79761-5034
Phone Number
432-582-2280
Fax Number
432-331-9981
person
Provider Business Mailing Address Details
Address
540 W 5Th St
City
Odessa
State
Texas
Zip
79761-5034
Phone Number
432-582-2280
Fax Number
432-331-9981
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
J3306 (Texas)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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